been a
tendency on the part of the profession generally to depend wholly upon
general treatment, on the part of a less numerous body of specialists
there has been an opposite tendency to depend wholly, or nearly so,
upon local measures. Both extremes are evidently wrong.
The object of local treatment for the relief of emissions, especially,
is to remove the local cause of irritation, which, as previously shown,
is one of the most active exciting causes of seminal losses. To effect
this, both internal and external applications are useful. We will now
consider some of these agents.
_Cool Sitz Bath_.--The cool or cold sitz bath is one of the most
efficacious of all remedies. It should be taken daily, and may often
be repeated, with benefit, several times a day. Its effect is to relieve
the local congestion, and thus allay the irritability of the affected
parts. When but one bath is taken daily, it should be just before
retiring at night. Full directions for this and other baths are given
in works devoted to the subject of bathing.
_Ascending Douche_.--This is also a very useful means of allaying
irritation, especially the reflex excitability which is often present
in the muscles in the vicinity of the perineum and prostate gland, and
when there is pain and fullness in these parts.
_Abdominal Bandage_.--This may be worn nights to very great advantage
by most patients. It not only allays the irritability of the nerve
centers which are closely connected with the genital apparatus, but
serves to keep the bowels in a healthy condition. It should not be
applied so continuously as to produce a very profuse eruption on the
skin. If such a symptom should appear, discontinue the bandage for a
time. When worn during the day-time, it should be changed once in three
or four hours. It is generally best to wear it only nights.
_Wet Compress_.--This is an application to be made to the lower part
of the spine for the purpose of allaying the excessive heat and
irritation which often exist there. It may also be worn nights, as it
in some degree prevents the danger arising from sleeping upon the back.
_Hot and Cold Applications to the Spine_.--These are powerful remedies
under appropriate conditions. Hot applications relieve congestion of
the genital organs and allay irritation. Cold applications are useful
when a condition of debility and relaxation is present. Alternate
applications of heat and cold are very valuable, when skill
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